Citimed Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CITIMED SURGERY CENTER, LLC

Practice address

9212 165TH St
Jamaica, NY 11433-1104

Phone

(718) 571-9595

NPI assigned

Dec 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sonia Gardella

Title

Administrator

Phone

(201) 549-9998

Specialties & licenses 1

Addresses

Other names 2

• Citimed Surgery Center, LLC Doing business as
• CMSC, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Moshe, M.D.

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1114230141
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1235600701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331104",
            "telephone_number": "201-549-9998",
            "fax_number": "646-585-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 165TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331104",
            "telephone_number": "718-571-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIMED SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "GARDELLA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-549-9998"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citimed Surgery Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMSC, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Choonja Chun, MD
• Marco Cinquegrana
• Ramona Ciobanu, MS ED.
• Victoria Elizabeth Cioci
• Citicardiaccare P.C.
• City Dental Care Jamaica P.C.
• City Homecare LLC
• City Medical of Upper East Side, PLLC
• City of New York Office of Payroll Administration
• City of New York Office of Payroll Administration

• Ambulatory Surgical Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.